QI Plan Part One28QI Plan Part OneDavis .docx

QI Plan Part One
28
QI Plan Part One
Davis Healthcare Improvement
Davis Healthcare is a dedicated team of professionals to
providing efficient services and patient care delivering.
However, each healthcare service requires improvements in one
or more sectors to improve the quality of services rendered to
the patients. Therefore, focusing on each aspect of development
within the healthcare service, Davis Healthcare must make
amendments and specific improvements to particular sections of
its organization.
Among the required sectors of development include productivity
management. This section entails activities that ensure service
delivery to various patients and proper coordination with staff
to coordinate patient care. Different data collection tools and
analyses techniques and instruments must be used to have the
appropriate data required for analysis in this section, (Panesar,
Carson-Stevens, Salvilla, & Sheikh, 2014). Nice, but what is the
topic you will be talking about – HAC, HAI, handwashing, pt
identification, med errors? etc
Data Collection

Data collection is aimed at obtaining appropriate data and
information required to ensure that correct information is
managed within the organization's settings for proper analysis
and fact evaluation. The kind of data needed to monitor
improvements include data on specific statistics regarding
delivery of services, feedback from patients, recovery rates, as
well as patient care response.
Some of the tools that can be used in data collection include
surveys, questionnaires, and interviews. These collection
devices are used in gathering data from the field and various
respondents appropriately before indulging in analysis and
improvement process of the healthcare delivery sector
(Blischke, Karim, & Murthy, 2011).
Surveys are short questions issued to various persons with
specific answer sets and defined sets of questions. These studies
are aimed at targeted forms of responses within the community
and organization. The surveys are given out to respondents
across the field area, to achieve issue objectively where the
respondents can respond to the questions categorically.
· Surveys are easily formed as they are simple problems and can
be sent through emails or other forums to the various
respondents across the field of study.
· Informational content on the improvement of productivity
management is categorized into obvious questions that can
easily be understood by the different respondents within the
responses.
· The response fields have areas that can be expounded upon to
give more detailed information about a particular service or area
of study. According to surveys, information available on
specific areas of study and the challenges that each department
undertakes in productivity management can be recorded in the

survey answers.
· Some of the cons of using surveys include problems in
understanding questions asked to the various departments.
Moreover, categorizing each study to suit a particular
department and respondents is bulky, since studies require
specification in information for each department and
respondent.
· Another challenge in using surveys as a collection tool in data
collection is the fact that some respondents could be illiterate,
therefore the need for informants for each category in each
department.
Interviews are a series of questions that are orally presented to
different respondents in the field. These questions are aimed at
gaining insight into information of the various aspects regarding
productivity management and reviews. Interviews are effective
in that the respondents' responses can be analyzed based on the
emotional attachments and the facial expressions made of each
kind of reaction.
· Interviews are valid where unbiased information is required
for correct analysis and response.
· Interviews require a one-on-one engagement with the
particular respondent on the field. The respondents can
comprise of individuals like nurses, patients or other health
caregivers, as well as other staff members and the community as
a whole.
· The range of services offered is analyzed based on the
responses of the various individuals within the field research.
Interviews present some particular advantages over other
methods of data collection tools.

· Benefits include the ability to assess the facial expressions
and moods for the accuracy of information. Another advantage
of using interviews is the capacity to get information directly
from the respondent, in that the information is accurate and
correct based on the analysis of interviewer using responses
from different interviewees.
· Some of the cons of using interviews in collecting data include
the inability to reach every respondent; therefore the area of
cover is limited. Moreover, the range of persons to be
interviewed can be varying regarding language; therefore, the
language barrier can be a hindrance as far as interviews are
concerned.
Questionnaires are a set of questions that collect information
based on a set of issues sent to the various respondents to
respond to a series of open-ended or closed-ended questions as
designed by the analyst. These issues can then be mailed back
or emailed to the analyst from the respondents, therefore
allowing for analysis of the responses before making a
conclusive decision.
· Questionnaires are primarily used to collect information of
different users based on their experiences in productivity
management and handling of different information within the
healthcare facility.
· Productivity management can be improved based on the kinds
of requests made by the various respondents in the
questionnaires, thereby achieving an entirely working
environment for healthcare delivery within Davis Healthcare
facility.
Data Display, Measuring and Reporting
Surveys are used in obtaining information on different

healthcare delivery services, and on overall the feedback
information in the form of tabulated results and indexing of
performance reviews. These feedback forms and surveys
constitute the basis for analyzing the performance of Davis
Healthcare delivery of services, and virtually analysis of the
areas that require prompt improvements (Axinn & Pearce,
2006). This data can then be graphed and presented in a mode
that can easily be understood by the various stakeholders.
Questionnaires are also used in collecting confidential
information where respondent information is protected.
Therefore, anonymity is maintained, and the responses offered
are given in the form of protected views where respondents feel
free to give any feedback. This feedback is then tabulated based
on the kind of questions asked in the questionnaire forms, and
priority indexes gave to particular sections mostly highlighted
by most respondents. Such areas are to be given higher
priorities for improvements.
Interview responses can be recorded by the interviewer for
discretion or written down in a particular format for later
assessment and analysis. Mostly, interviews are used to collect
useful information regarding recurrent issues affecting most
populations, and their general views on the given subject. The
suggested improvements are indexed, and during the discussion
with the organization panel, the most requested changes or areas
affecting the individuals are accorded higher amendment
priorities.
Conclusion
These tools are interlinked in a way that each of the tools is
involved in data collection and analysis. In the three tools of
data collection and analysis, questions are included, which
engage both the respondents and the researcher. In the three
modes, the responses are made up of a particular format where
the information can be analyzed according to the information

provided during the research. Data collection tools are
essentially used in obtaining user information for analysis and
review of the main areas that require prompt improvements of
any given organization. Moreover, researchers use various tools
in collecting information, in a way that must be efficient and
cover most areas of the body.
Overall nice job, but way to general – need to relate the paper
to the specific topic you are going to address.
References
Axinn, W. G., & Pearce, L. D. (2006). Mixed method data
collection strategies. Cambridge: Cambridge University Press.
Blischke, W. R., Karim, M. R., & Murthy, D. N. (2011).
Warranty data collection and analysis. (Springer e-books.)
London: Springer-Verlag.
Panesar, S., Carson-Stevens, A., Salvilla, S., & Sheikh, A.
(2014). Patient Safety and Healthcare Improvement at a Glance.
Hoboken: Wiley.
Content
60 Percent
Points Available
60
Points Earned
40/60
Additional Comments:
Part 1: Data Collection Tools
· Explain data needed to monitor improvements.
· Explain at least three data collection tools you can use to
collect performance information.
· Explain the types of information each tool collects.
· Explain the strengths and weaknesses of each data collection
tool.

· Explain how the data collection tools are similar. Explain how
the data collection tools are different.
Part 2: Data Display, Measurement and Reporting –
· Identify at least two tools that measure and display the QI data
that can be gathered with the data collection tools identified in
Part 1.
· Explain the types of information each tool measures, displays,
and reports.
· Explain each measurement, display, and reporting tool's
strengths and weaknesses
· Explain how the measurement, display, and reporting tools are
similar and different from each other.
· Explain how the measurement, display, and reporting tools are
useful for health care organizations.
You could have expanded on data needed to monitor
improvements and how the collection tools were similar.
You needed to tell the reader – what the specific topic was
going to be: falls, med errors, pt identifction etc
Organization/Development
20 Percent
Points Available
20
Points Earned
15/20
· The paper is 1,050- to 1,400-words.
· The introduction provides sufficient background on the topic
and previews major points.
· The conclusion is logical, flows, and reviews the major points.

· A minimum of three references are included.
The intro did not preview the major points. Your conclusion
did not review the major points again, what is the topic?
Mechanics
20 Percent
Points Available
20
Points Earned
20/20
· The paper—including tables and graphs, headings, title page,
and reference page— is formatted according to APA
guidelines and meets requirements.
· Intellectual property is recognized with in-text citations and a
reference page.
· The paper effectively uses headings, font styles, and white
space.
· Rules of grammar, usage, and punctuation are followed;
spelling is correct.
All on point
Total Available
Total Earned
You had a nice start, you needed to expand on the data needed
and how the three were similar. You needed to tell the reader
what the topic was – specifically – falls, med errrors,pt
identification, HAI, HAC. Your were to broad in your paper.
Intro and conclusion should give the reader an over view of
what you will tell them, and what you told them respectively.

Again, nice start.
100
75
QI Plan Part Two
Understanding the market and customers is the best thing that
will help any business to improve its services and thus deliver
the best to its clients outstanding – it is an absolute truth. The
information from the market needs to be gathered on a regular
basis so as to ensure that the business is providing the necessary
service in the market (Graham, 2005). The same information
collected also is paramount in improving the management that
will aim at productivity in the whole business. This paper will
be address methods used in data collection and the improvement
that companies ought to make so as to attain productivity
management (Fitzsimmons, 2013). You should have talked
about your specific patient safety measures here
Improvement methodologies
The method that was researched is surveys, questionnaires, and
interviews. These methods promised lots of improvement in
management, such as to when to utilize and applied in the
organization (Baban, 2010). The main aim of each methodology
is to help management understand the market regarding the
many changes, customers' needs, and preferences (Fitzsimmons,
2013).
Surveys
Surveys are one of the best methods of gathering data and
information from people, and it has many purposes and can be
done in many ways be specific on your patient safety measure –
pick any one – suggestions: falls, infection, med error, pt
identification. There are several methods that survey's can be
done. Some methods are printed questionnaires, using the

telephone, emails, in person among other means (Stagg, 2011).
Survey is unique in that the information collected is done
through standardized methods so that every person interviewed
is asked the same questions in the same way (Organization.
2013). Some of the advantages of surveys include:
Significant representation: study normally involves a huge
number of people who take part in answering questions in the
survey and thus it provides the business with high
representation and thus the real picture of the market is
concluded (Dillman, 2011). Since a large population is
involved, the data collected depicts the overall characteristics
of the whole population and helps in improving the business as
the information gathered (Organization, 2013).
· Appropriate data collection: since survey involves other
techniques in collecting the data, it thus can be administered to
many people by any convenient method (Stagg, 2011).
· Statistical significance: survey method has high representation
and thus it is easier to find the relevant results since a
significant population is involved in data gathering. The other
thing also is that many variables can analyze well using the
survey (Dillman, 2011).
Survey methodology, on the other hand, has some weaknesses.
The most notable weaknesses are:
· Not suitable for controversial issues: in the study, questions
that have controversies may not be well tackled when using this
method since there is a problem of recalling the related
information to the same (Stagg, 2011).
· The possibility of inappropriate questions: since surveys
involve a standardized method of administering questions, the
researcher is forced to follow the format and in the process, the

required questions may not be framed well so as to get the
necessary data and information from the population (Dillman,
2011).
Questionnaires
Questionnaires are one of the most used methods of information
gathering, and it consists of questions and other necessary
prompts that are aimed at getting the feedback from many
people (Bulmer, 2014). Among other methods of gathering
information, a questionnaire is the cheapest and does not need a
lot of efforts since it standardized data that helps get the
required answers with ease (Dörnyei, 2009). A questionnaire is
the best method for gathering information that will be
paramount in improving management productivity for the
benefit of the business at large.
· Advantages of questionnaires include:
· Easy to analyze and thus helps in productivity management.
· It has a standard way of collecting information and thus
ensures that every detailed is obtained (Bulmer, 2014).
· Very applicable for gathering sensitive questions that the
management might be interested in making an informed decision
in the business.
· Respondents normally have time to internalize questions
before answering, and thus this ensures that information
gathered is relevant, and it is what the management need for
productivity in the business (Dillman, 2011).
Disadvantages
· Respondents may assume and ignore the questions, and thus

the required details are not collected (Bulmer, 2014).
· If the business is interested in investigative and complex
issues in the firm, then questionnaires are not the appropriate
method.
· Questions may appear more complicated and impersonal
(Organization, 2013).
· Interviews
· This method requires that the respondents are asked the
question directly (face-to-face) and thus is one of the best ways
of getting immediate feedback from the respondents (Rosner,
2013).
· Advantages
· Verbal and non-verbal cues are captured clearly, and thus
accurate information is gathered (Rosner, 2013).
· Interviews offer the correspondent an opportunity to express
his or her views in the language and way possible and most
comfortable to them.
· Interviews are important for the business as this will
determine what is needed (Fitzsimmons, 2013).
Disadvantages
· This method is costly regarding money and time and thus not
suitable for urgent information.
· Not accurate since manual data entry is used (Rosner, 2013).
The best methodology for the organization is the questionnaires.

The main reason I prefer this method is that it can be used in
collecting sensitive information in the market that is of
paramount in the decisions that the business ought to make to
better its operations. The other thing is that the data collected
using this methodology is easy to analyze, and this is important
in giving back the feedback from the field for the necessary
implementations to be made (Fitzsimmons, 2013).
Information technology
Technology has advanced and thus should be used well in the
business to acquire benefits and other added advantages
(Davies, 2015). Information technology application in business
includes:
· Communication: the company should benefit from the emails
in sending information since it is the fastest means and cheapest
of communicating. Productivity management can be enhanced
using such technologies in business so as to pass the
information either vertically or horizontally within the company
(Dillman, 2011).
· Storage: today there are CDs, external hard disks which can be
used to store relevant information in business and avoids loss of
the same. Critical information that can help managers improve
on their work can be stored in such devices.
Benchmarking
There are various ways in which the company may use to
measure its performance with other businesses (Codling, 2014).
· The first way or method is through competitive benchmarking
which carried out amongst the competitors, and proper data
analysis's done so as to ascertain what causes the other
competitors to be better than others (Dörnyei, 2009). This form
of benchmarking is easier because of the variables used are the

same as the companies being compared. The disadvantage of
this kind benchmarking is that it is more difficult because of the
competitive nature of complies although such differences may
be overcome when dealing with companies in geographically
distribution locations (Graham, 2005).
· Secondly, the company may choose to use internal
benchmarking in which benchmarking techniques are applied in
businesses that have many units. This form of benchmarking is
critical and most useful because it gives an organization the real
picture of its working and the areas that need to be attended to
so that all units are in one phase.
· Thirdly, process benchmarking can be used. The important
part of this approach is the distinction mainly in the processes
in different companies which is the main reason for the
difference in performance. The resulting gain from here are
used to correct the processes which are not performing well for
the purpose of making the companies more competitive and
compete favorably with other businesses (Codling, 2014).
· Lastly is the generic benchmarking where the technological
aspects, implementation and deployment technology considered
(Camp, 2013). The main aim here is to know how else the other
company does their work and by how much as per the rations.
Mission, Vision, Strategic, and Operational Plans
Performance and quality measures in the business are of great
important as this shows what the business does and aim to do in
the future. Mission, vision, strategic plans and operational plans
play a fundamental role in improving performance and quality
measures in the business (Camp, 2013). The primary incentive it
puts across is:
· The source of pressure: having a mission, vision, strategic
plans in the business are sound so as to put much pressure on
the management and employees to strive to achieve the same

and as the result, the general performance and quality in the
business are enhanced (Graham, 2005).
· Set direction: mission, vision, and plans in any organization
are the primary sources of the direction in the business. It helps
the company identify what they ought to achieve in a given
period and what measures need to be put in place so as to
achieve all the goals and objectives (Dillman, 2011).
· Establish responsibilities: having strategic plans in the
business bring order in how things are ought to be done and who
is responsible for doing the same. Having a strategic plan is
important when it comes to monitoring the general in the
organization.
Barriers
· Lack of proper and quality communication among the
managers and employees bring chaos.
· Lack of plans: if the business fails to plan then it is planning
to fail. The success of many businesses is attributed to proper
planning.
· Lack of positive focus: if the company fails in projecting
positively in its operations then success is hard since there will
be no motivations.
· Strategies to ensure successful implementation of strategies
· Assignment: for a successful implementation, there is a need
to assign people to different categories so as to be accountable
in case of any problem.
· Implement in stages: for complete implementation, there is a
need to do the whole implementation in phases and have a

deliverable in each stage. This will ensure that problems are
dealt with in early stages and avoid it moving to later stages.
· Being realistic: there is need to implement something that is
real and attainable in the organization. This will ensure that
whatever the business is planning will be achieved (Dörnyei,
2009).
In conclusion, productive management is one the most
contributing factor in the success of any business and there is a
need to invest more of improving it so that the firm benefits in
all its operation. A company need to spend the most on strategic
plans, operations and benchmarking to line the business with its
mission, vision, objectives, and goals. Technology has brought
many changes in business, and there is need to utilize such
advantages in business so as to realize significant benefits.
References
Baban, D. T. (2010). Improvement methodologies. Chelsea, MI:
MCS Media.
Bulmer, M. (2014). Questionnaires. London: Sage.
Camp, R. C. (2013). Benchmarking: the search for industry best
practices that lead to superior performance. Benchmarking: the
search for industry best practices that lead to superior
performance.
Codling, S. (2014). Benchmarking. Brookfield: Gower.
Davies, P. A. (2015). Information technology. New York:
Oxford University Press.
Dillman, D. A. (2011). Mail and Internet surveys: The tailored
design method--2007 Update with new Internet, visual, and
mixed-mode guide. John Wiley & Sons.
Dörnyei, Z. &. (2009). Questionnaires in second language
research: Construction, administration, and
processing. Routledge.
Fitzsimmons, J. &. (2013). Service management: Operations,

strategy, information technology. McGraw-Hill Higher
Education.
Graham, A. (2005). Airport benchmarking: a review of the
current situation. Benchmarking: an international journal.
Organization. W. H. (2013). Oral health surveys: basic
methods. World Health Organization.
Rosner, B. (2013). Interviews. New York: McGraw-Hil.
Stagg, N. (2011). Surveys. New York: Arno Press.
Content
60 Percent
Points Available
90
Points Earned
50/90
· Improvement Methodologies
· Analyze each methodology you researched. Explain the pros
and cons of each methodology for your chosen area of
improvement.
· Choose one of these methodologies for your organizational QI
plan and explain why you chose this methodology over others.
· Information Technology
· Analyze each information technology application you
researched.
· Analyze how these applications will be used to help improve
the area of improvement you have chosen.
· Benchmarking
· Analyze how benchmarks and milestones are involved in
managing the use of quality indicators.

· Analyze three potential benchmarks and milestones from
quality indicators that could be used for your plan.
· Mission, Vision, Strategic, and Operational Plans
· Analyze how performance and quality measures are aligned to
an organization's mission, vision, and strategic plan in general.
· Analyze how the measures are aligned with the mission,
vision, and strategic plan of an organization.
· Barriers
· Challenges
· Analyze barriers that can interfere with the implementation or
revision of quality measures.
· Successful Implementation
· Implementation
· Analyze strategies to ensure successful implementation of new
quality measures.
Nice start – all bullets met for improvement methodologies;
information technology; benchmarking; mission; barrier;
successes; however, you will need to select one topic such as
med errors and reference the topic to med errors throughout the
paper. Make sense?
20 Percent
Points Available

30
Points Earned
15/30
Nice start, intro and conclusion should reference med errors for
your organizational development skills as identified by bullets
listed.
Mechanics
20 Percent
Points Available
30
Points Earned
10/30
reference page.
space.

Mechanics and sentence structure needed some work. Review
in the library Center for writing excellence to review master
level writing skills
Total Available
Total Earned
Nice start on this paper. Please make sure when you finalize
the paper please make sure you reference a specific patient
topic such as med errors, or falls, or pt id, or wrong site
surgery, or infections. You need to continue to use the area of
improvement selected in all future assignments of the QI Plan
otherwise you will not pass this class. Again, nice start and you
earned 75 points.
15
75
QI Plan Part Three
Davis Health Care’s Quality Improvement Plan
To be able to implement the quality improvement plan
effectively, the management of Davis Healthcare must be in a
position to make a detailed illustration of the critical steps to
act as a map that would guide the implementation team in
starting and coordinating the correct patient identificaiton
opportunity. This assignment will address areas of criteria and
tasks with regards to the authority, structure, and organization.
This paper will also address the communication, education,
monitoring, revising, regulation and accreditation that
associates with patient identification. Patient identification
should be treated with the seriousness it deserves because

failure to correctly identify patients may have far-reaching
consequences whereby a patient may undergo wrong procedures,
transfusion errors may occur, a patient may be given erroneous
medication, and testing errors may also occur among other
errors – stick with one topic – narrow it down. The above areas
will provide guidance in the implementation process so as to
reduce errors associated with the patient identity.
Criteria and Tasks
This section describes the authority structure and organization
of the implementation of the quality implementation plan. The
different roles of each group involved in the management and
running of a healthcare organization will be described. Every
professional project must have an implementation committee
whose role is to oversee the implementation of the program. As
is the case with most professional projects, this quality
improvement plan will be implemented by an implementing
committee. However, different bodies involved in the plan
within the healthcare organization will play different roles.
Board of directors: The board of directors has the responsibility
of ensuring quality of care for each patient. Equally, they are
responsible for making decisions regarding the implementation
structure and organization; communication, education;
monitoring and revising; and regulation and accreditation
patient identification Also, they provide oversight with regards
to plans and projects of the organization. How about the
oversight of the improvment plan – which one are you going to
use?
Executive leadership:The executive leadership alias with the
board to guide a culture of the organization aimed at
spearheading improvements in the organization. The executive
also directs the healthcare resources towards processes,
structures of the organization as well as resources to monitor
the healthcare systems, which in turn would ensure reduced
patient identification errors.

Quality improvement committee: The role of the quality
improvement committee is to monitor this quality improvement
plan, make observations on areas of improvements and report to
the board for action on quality issues. This committee also
makes recommendations to the executive board with regards to
the initiatives and policies aimed at improving the quality of the
patient identification program. Also, the committee ensures that
the best practices on patient identification, are "shared with the
staff" (Sadeghi, 2013) at the Davis healthcare organization.
Apparently, it is this committee that oversees the preparation of
every annual plan on quality improvement.
Medical staff: If patient identification is made incorrectly then
it is high probable that the medical staff will misdiagnose
illness, issue medication to the wrong patient, infant discharge
patients to the wrong persons, conduct wrong procedures among
other error. As such, medical staff plays a major role in
counterchecking the patient identification before starting any
procedure. As part of their involvement in the implementation
of the patient identification, they have a better understanding of
the importance of its success implementation in the
organization..
Middle management: As part of their involvement in this plan,
the role of the middle management is to reinforce the decisions
of the executive leadership in the implementation of the patient
identification plan.
Department staff: The role of the Department staff is to take
orders from the middle management with regards to the
implementation of the patient identification plan.
Communication
The quality improvement team will be tasked with the
responsibility of communicating the to quality performance
activity outcomes of the patient identification program to all

staff. In fact, the communication on quality improvement must
be made to the board of directors to executive leadership,
through the medical staff, to the middle management and finally
to the department staff. The communication team will also be
tasked with the responsibility of making updates on how the
patient identification program is being implemented.
The training activities regarding this program as well as the
improvement charting are among the important aspects of the
communication. The communication team will oversee the
collection of data, preparation of data report and can
communicate the improvement efforts through techniques such
as employee meetings, posters, emails, newsletters, memos,
meetings and verbal communications techniques. Nice!
Education
The importance of patient identification plan must be taught to
each member of staff if the "program is to be successfully
implemented and the full potential of the training be realized"
(Moore & Simendinger, 1999). To initially orient each staff
member to the plan, flow charts should be used to point out the
actual sequence of events in the patient identification process.
The use of the charts would help each staff to get a better
understanding of how the whole process happens. Once a
problem is identified, the trainer will have to use another chart
to show how the correct patient identification process should be
done. Process paced training is what this is referred as.
Under this training, every staff will come to understand that the
implementation of the patient identification plan will affect
their workflows in one way or another. However, after the
trainer takes them through the process, they will finally
understand new workflows. Role-based training is another
effective technique of educating the staff. Under this strategy,
the trainer would tailor the learning sessions based on the roles
of various employees of the organization as they involve in the
plan. Apparently, different staff will have different needs with
regards to this patient identification plan. So, in such cases, the

trainer will design the lessons on how best they will suit the
particular staff.
Using super user training technique can be a very effective way
to pass education on patient identification, to the employee.
Under this technique, the trainer will be forced to create a team
of super users. These are a few members of staff who have
quickly mastered the lessons and can move amongst the other
staff to share their tips to aid in better understanding of the
process.
Monitoring and Revising
After the implementation of the patient, identification plan has
been done; it has to undergo an annual evaluation process to
identify any inefficiencies or ineffectiveness so that appropriate
improvements are made accordingly. Apparently, the evaluation
committee will be tasked with the responsibility of conducting
an annual evaluation of the effectiveness of the plan so as to
reveal if the target goal has been achieved. The committee will
then recommend revisions to be made on the plan. Depending
on the reviews of the plan, the committee will set priorities and
identify opportunities for improvement in the next annual
evaluation. The review committee will then draft a report as a
summary of the review process, any findings, recommendations
to me made on the plan for that year. The report shall then be
submitted to the board for action.
Regulatory and Accreditation
External entities such as government agencies, professional
interest groups, and accreditation bodies, have had a huge
influence on the decision-making processes of healthcare
organizations. For instance, a health care organization cannot
offer certain services without the permission of government
agencies. It is in the same way that a healthcare organization
cannot offer services to community members unless it has
received accreditation from the accrediting bodies.
In other words, the decision-making processes of these bodies

and agencies are tied up with the policies of these bodies
because they are the standard setters for the interest of the
community and citizenry seeking healthcare services from them.
A government agency could revoke the operating license of any
healthcare organization if that organization violated any the set
laws of policies. For instance, FDA may revoke its approval of
the use of a particular drug if it is found out that the use of that
drug is harmful to the patients. "Accreditation bodies provide
services to healthcare organization" (Field, 2007), without
which the decision processes of those healthcare organizations
will dwindle. You will need to reference TJC or CMS or state
agency standards regarding patient identificaiton.
In conclusion, quality improvement plan is an important
function in every healthcare and therefore it is important for
healthcare management to adapt it for success of their
healthcare centres. The management of healthcare responsible
for quality improvement involves board of directors, executive
leaders, a committee selected to lead other leaders in quality
improvement, medical employees among others.
Communication is one of the factors that need to be considered
when implementing quality in healthcare centres because
without better communication skills there will be no quality
improvement. It is through communication that all those
involved in quality improvement will get information and
education, assessment and revision together with regulation and
certification of implementation of quality improvement of
healthcare centres.
1448 words
one day late
References
Field, R. I. (2007). Health care regulation in America:
Complexity, confrontation, and compromise. New York: Oxford

University Press.
Moore, T. F., & Simendinger, E. A. (1999). Hospital
turnarounds: Lessons in leadership. Washington, D.C: Beard
Books.
Sadeghi, S. (2013). Integrating quality and strategy in health
care organizations. Burlington, Mass: Jones & Bartlett
Learning.
Content
60 Percent
Points Available
90
Points Earned
80/90
· Criteria and Tasks
· Authority, structure, and organization
· Describe the authority structure of the plan's implementation.
This must describe who is responsible for implementing the
plan. Include a description of each role involved in the plan:
· Board of directors
· Executive leadership
· Quality improvement committee
· Medical staff
· Middle management
· Department staff

· Communication
· Identify who the performance activity outcomes are
communicated to and who does the communicating. This
describes who is responsible for overseeing data collection and
preparing data reports.
· Education
· Describe how staff will be educated regarding the plan. This
covers how each staff member will be initially oriented to the
plan and how each employee fits into the plan based on job
responsibilities.
· Monitoring and Revising
· Annual evaluation
· Analyze what elements of the plan are annually evaluated for
improvement.
· Analyze how to monitor the effect of changes implemented
from the decision-making process.
· Regulatory and Accreditation
· External entities
· Analyze the effect of external entities, such as governmental
agencies, accrediting bodies, and professional interest groups,
on the quality and performance measure of an organization's
decision-making processes.
Overall well written, however, you could have expanded on
accrediting bodies, and professional interest groups, - you could

have talked about the impact CMS and TJC have on your plan
related to the pt identificaiton
20 Percent
Points Available
30
Points Earned
25/30
nice organizational/development work – recommend you
introduce and conclude with pt identificaiton
Mechanics
20 Percent
Points Available
30
Points Earned
30/30
reference page.
space.

You nailed the mechanics to include APA
Total Available
Total Earned
Very nice paper. I would have liked to see additional
information on TJC and CMS on pt safety standards You earned
120 points.
15
135-15late=120

QI Plan Part One28QI Plan Part OneDavis .docx

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